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Antibiotic Coverage for Otitis Media

The document summarizes several antibiotics including their uses, doses, and administration information. Some of the antibiotics described are amoxicillin & clavulanic acid for ear, lower respiratory, sinus and urinary tract infections; azithromycin for community-acquired pneumonia, pharyngitis and skin infections; cefazolin for skin, bone, respiratory and urinary tract infections; and vancomycin for serious MRSA infections and C. difficile colitis.

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Carl Jackson
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0% found this document useful (0 votes)
119 views3 pages

Antibiotic Coverage for Otitis Media

The document summarizes several antibiotics including their uses, doses, and administration information. Some of the antibiotics described are amoxicillin & clavulanic acid for ear, lower respiratory, sinus and urinary tract infections; azithromycin for community-acquired pneumonia, pharyngitis and skin infections; cefazolin for skin, bone, respiratory and urinary tract infections; and vancomycin for serious MRSA infections and C. difficile colitis.

Uploaded by

Carl Jackson
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd

Antibiotics:

-Amoxicillin & Clavulanic Acid (Augmentin, Augmentin 600 ES, Augmentin XR) [Antibiotic/Aminopenicillin, Beta-lactamase Inhibitor] Uses: *Ear, lower resp, sinus, UTI, community acquired pneumonia, skin Infxns caused by lactamaseproducing H. influenzae, S. aureus, & E. coli* Dose: Adults. 250500 mg PO q8h or 875 mg q12h; XR 2000 mg PO q12h. Peds. 2040 mg/kg/d as amoxicillin PO q8h or 45 mg/kg/d q12h; in renal impair; take w/ food -Amoxicillin (Amoxil, Polymox) [Antibiotic/Aminopenicillin] Uses: *Ear, nose, & throat, lower resp, skin, UTI from susceptible gram(+) bacteria* endocarditis prophylaxis Dose: Adults. 250500 mg PO tid or 500875 mg bid. Peds. 25100 mg/kg/24 h PO q8h. 200 400 mg PO bid (equivalent to 125250 mg tid) -Azithromycin (Zithromax) [Antibiotic/Macrolide] Uses: *Community-acquired pneumonia, pharyngitis, otitis media, skin Infxns, nongonococcal chlamydial) urethritis, chancroid & PID; Rx & prevention of MAC in HIV* Dose: Adults. Resp tract Infxns: PO: Cap 500 mg day 1, then 250 mg/d PO 4 d. Sinusitis 500 mg/d PO 3 d. IV: 500 mg 2 d, then 500 mg PO 710 d or 500 mg IV daily 2 d, then 500 mg/d PO 710 d Nongonococcal urethritis: 1 g PO 1. Gonorrhea, uncomplicated 2 mg PO 1; Prevent MAC: 1200 mg PO once/wk. Peds. Otitis media: 10 mg/kg PO day 1, then 5 mg/kg/d days 25. Pharyngitis: 12 mg/kg/d PO 5 d (susp on empty stomach; tabs OK w/ or w/o food; w/ CrCl <10 mL/mg -Cefazolin (Ancef, Kefzol) [Antibiotic/Cephalosporin-1st Generation] Uses: * Infxns of skin, bone, upper & lower resp tract, urinary tract, endocarditis prophylaxis Dose: Adults. 12 g IV q8h Peds. 25100 mg/kg/d IV q68h; -Ceftriaxone (Rocephin) [Antibiotic/Cephalosporin-3rd Generation] Uses: *Resp tract (pneumonia), skin, bone, joint, urinary tract Infxns, meningitis, & septicemia, infxn- uncomplicated, gonococcal, conjunctivitis gonococcal, Dose: Adults. 12 g IV/IM q1224h. Peds. 50100 mg/kg/d IV/IM q1224h; decreased in renal impair -Cefotetan (Cefotan) [Antibiotic/Cephalosporin-2nd Generation] Uses: *Rx Infxns of the upper & lower resp tract, skin, bone, urinary tract, abdomen, & gynecologic system, *preferred antibiotic for battle field injuries Dose: Adults. 13 g IV q12h. -Cephalexin (Keflex, Pranixine Disperdose) [Antibiotic/ Cephalosporin-1st Generation] Uses: *Skin, bone, upper/lower resp tract, urinary tract Infxns, otits media, Dose: Adults. 2501000 mg PO qid. Peds. 25100 mg/kg/d PO qid; in renal impair; (on empty stomach)

-Ciprofloxacin (Cipro, Cipro XR, Proquin XR) [Antibiotic/Fluoroquinolone] Uses: Rx lower resp tract, sinuses, skin & skin structure, bone/joints, & urinary tract Infxns including prostatitis, anthrax, diarrhea Dose: Adults. 250750 mg PO q12h; XR 5001000 mg PO q24h; or 200400 mg IV q12h;in renal impair -Doxycycline (Adoxa, Periostat, Oracea, Vibramycin, VibraTabs) [Antibiotic/Tetracycline] Uses: Broad-spectrum antibiotic, acne vulgaris, uncomplicated GC, Chlamydia sp, PID, Lyme disease, skin Infxns, anthrax, malaria prophylaxis Dose: Adults. 100 mg PO q12h on 1st d, then 100 mg PO daily bid or 100 mg IV q12h; acne daily dosing, Chlamydia 7d, Lyme disease 1421 d, PID 14 d - Levofloxacin (Levaquin, Quixin & Iquix Ophthalmic) [Antibiotic/Fluoroquinolone] Uses: lower resp tract Infxns, sinusitis, chronic bact prostatitis, pyelonephritis, UTI uncomp; skin Infxns; anthrax; topical for bacterial conjunctivitis, community acquired pneumonia, chronic bronchitis. Dose: Usual 250750 mg/d PO or IV; Sinusitis 750 mg PO/IV 5 d; Prostatitis 500 mg PO/IV 28 d; Uncomp UTI female 250 mg PO/IV 3 d, if complicated 10 d; CAP 750 mg/d for 5 d; Anthrax acute 500 mg PO/d 60, start IV w/ other antibiotics; postexposure 500 mg PO daily 60; ophth12 gtt in eye(s) q2h while awake for 2 d, then q4h while awake for 5 d; in renal impair, avoid antacids if PO; oral sol 1 h before, 2 h after meals -Trimethoprim (TMP)Sulfamethoxazole (SMX) [Co-Trimoxazole] (Bactrim, Septra) [Antibiotic/Folate Antagonist] Uses: UTI Rx & prophylaxis, otitis media, sinusitis, bronchitis, diarrhea, Dose: Adults. 1 DS tab PO bid or 520 mg/kg/24 h (based on TMP) IV in 34 doses. P. jiroveci: 1520 mg/kg/d IV or PO (TMP) in 4 doses. Nocardia: 1015 mg/kg/d IV or PO (TMP) in 4 doses. UTI prophylaxis: 1 PO daily. Peds. 810 mg/kg/24 h (TMP) PO into 2 doses or 34 doses IV; do not use in newborns; maintain hydration -Metronidazole (Flagyl, MetroGel) [Antibacterial, Antiprotozoals] Uses: Bone/joint, endocarditis, intra-abd, meningitis, & skin Infxns; amebiasis; trichomoniasis; bacterial vaginosis; PID; giardiasis; pseudomembranous colitis (C. difficile) Dose: Adults. Anaerobic Infxns: 500 mg IV q68h. Amebic dysentery: 750 mg/d PO for 510 d. Trichomoniasis: 250 mg PO tid for 7 d or 2 g PO 1. C. difficile 500 mg PO or IV q8h for 710 d (PO preferred; IV only if pt NPO). Vaginosis: 1 applicatorful intravag bid or 500 mg PO bid for 7 d. Acne rosacea/skin: Apply bid. Peds. 30 mg/ kg PO/IV/d divided q6H, 4 g/d max. Amebic dysentery: 3550 mg/kg/24 h PO in 3 doses for 510 d;, Rx 710 d for C. difficile; decrease in hepatic impair -Penicillin V (Pen-Vee K, Veetids, Others) [Antibiotic/Penicillin] Uses: Susceptible streptococci Infxns (group A), otitis media, URIs, skin/soft tissue, Infxns (PCN-sensitive staph) Dose: Adults: 250500 mg PO q6h, q8h, q12h. Peds. 2550 mg/kg/25h PO in 4 doses; in renal impair; on empty stomach - Vancomycin (Vancocin, Vancoled) [Antibiotic/Glycopeptide] Uses: Serious MRSA Infxns; enterococcal Infxns; PO Rx of C. difficilepseudomembranous colitis

Dose: Adults. 1 g IV q12h; or 15 mg/kg/dose for colitis 125500 mg PO q6h.

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